PEPFAR's annual planning process is done either at the country (COP) or regional level (ROP).
PEPFAR's programs are implemented through implementing partners who apply for funding based on PEPFAR's published Requests for Applications.
Since 2010, PEPFAR COPs have grouped implementing partners according to an organizational type. We have retroactively applied these classifications to earlier years in the database as well.
Also called "Strategic Areas", these are general areas of HIV programming. Each program area has several corresponding budget codes.
Specific areas of HIV programming. Budget Codes are the lowest level of spending data available.
Expenditure Program Areas track general areas of PEPFAR expenditure.
Expenditure Sub-Program Areas track more specific PEPFAR expenditures.
Object classes provide highly specific ways that implementing partners are spending PEPFAR funds on programming.
Cross-cutting attributions are areas of PEPFAR programming that contribute across several program areas. They contain limited indicative information related to aspects such as human resources, health infrastructure, or key populations programming. However, they represent only a small proportion of the total funds that PEPFAR allocates through the COP process. Additionally, they have changed significantly over the years. As such, analysis and interpretation of these data should be approached carefully. Learn more
Beneficiary Expenditure data identify how PEPFAR programming is targeted at reaching different populations.
Sub-Beneficiary Expenditure data highlight more specific populations targeted for HIV prevention and treatment interventions.
PEPFAR sets targets using the Monitoring, Evaluation, and Reporting (MER) System - documentation for which can be found on PEPFAR's website at https://www.pepfar.gov/reports/guidance/. As with most data on this website, the targets here have been extracted from the COP documents. Targets are for the fiscal year following each COP year, such that selecting 2016 will access targets for FY2017. This feature is currently experimental and should be used for exploratory purposes only at present.
Years of mechanism: 2008 2009
09.C.PC01: TBD - Pediatric Care and Outreach Support
ONGOING ACTIVITY FOR WHICH NO NEW FY2009 FUNDS ARE REQUESTED - DELAYED
IMPLEMENTATION
From COP08:
The Pediatric ART program has witnessed tremendous progress in the past five years. Starting from scratch
with no HIV-experienced pediatricians, Botswana has moved to becoming one of the largest pediatric
HIV/AIDS treating countries in the world. Several partners are assisting Botswana improving the provision of
ART services to the pediatric population.
With the improvement of treating staff, especially specialist pediatricians, emphasis is now being shifted to
decentralize therapy at peripheral facilities. These are supported by outreach visits by the specialists from
PMH, the Baylor Center of excellence and NRH.
Lately, a gradual rise can be noted in those presenting to the pediatric clinics with co-morbid chronic
conditions requiring long-term follow up, such as Lymphocytic Insterstitial Pneumonia (LIP), bronchiectasis,
tuberculosis; and non-HIV associated diseases such as asthma, diabetes, heart diseases.
PEPFAR will support for the continued of pediatric patient care and training activities. The selected TBD
organization will work closely with GOB facilities to improve and strengthen the delivery of pediatric
palliative care and ART services countrywide in order to support the national program, increase access to
care and treatment of children, train non pediatrician health care workers in the care of HIV infected children
and maintain high standards of pediatric HIV/AIDS management in Botswana through guidelines and
curriculum development. The selected organization will create a referral service center which will deal with
complicated HIV/AIDS cases in children. It is expected that the TBD organization will put in place a
mentoring /supportive supervision system with an outreach support component in order to standardize
approach to pediatric HIV/ AIDS management.
The TBD organization will continue to facilitate the training of health care workers in pediatric HIV/ AIDS
management in collaboration with the national ART training courses and participate in the revision of the
pediatric module of the KITSO training curriculum. Pediatric training will be in line with the newly developed
national guidelines that will be published in late 2007 or early 2008. The organization will participate in the
national roll out of these new guidelines.
New/Continuing Activity: Continuing Activity
Continuing Activity: 17673
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
17673 17673.08 HHS/Centers for To Be Determined 7803 7803.08 New CoAg-
Disease Control & PediatricCare
Prevention
Table 3.3.10:
09.T.PT01: TBD - Pediatric ART Treatment
CONTINUING ACTIVITY UNDER A PERFORMANCE PASS
ONGOING ACTIVITY FOR WHICH NO ADDITIONAL FY2009 FUNDS ARE REQUESTED - DELAYED
INPLEMENTION
organization will work closely with GOB facilities to improve and strengthen the delivery of pediatric ART
services countrywide in order to support the national program, increase access to care and treatment of
children, train non pediatrician health care workers in the care of HIV infected children and maintain high
standards of pediatric HIV/AIDS management in Botswana through guidelines and curriculum development.
The selected organization will create a referral service center which will deal with complicated HIV/AIDS
cases in children. It is expected that the TBD organization will put in place a mentoring /supportive
supervision system with an outreach support component in order to standardize approach to pediatric HIV/
AIDS management.
management in collaboration with the national ARV training courses and participate in the revision of the
The selected organization will be charged with reviewing and evaluating pediatric care and treatment,
designing educational materials and using them in training activities.
Continuing Activity: 17809
17809 17809.08 HHS/Centers for To Be Determined 7803 7803.08 New CoAg-
Table 3.3.11:
09.C.TB14: TBD - Pediatric TB/HIV Management
The diagnosis and treatment of TB in children is difficult and this more so in HIV-infected children, where TB
is a major cause of disease and death. The new WHO Stop TB Strategy was announced in 2006 with the
aim of ensuring equitable access to care of international standards for all TB patients - infectious and non-
infectious, adults and children, with and without HIV, with and without drug-resistant TB. International
guidance for national TB programs on managing TB in children was released in 2006, with the aim of
addressing this neglected area of TB control.
Botswana has one of the largest pediatric HIV/AIDS treatment programs in the world, an example of
effective partnerships in the provision of ART services to the pediatric population. ART services are being
decentralized to peripheral facilities with the support of outreach visits by specialist pediatricians from PMH,
the Baylor Center of Excellence and NRH. The management of TB in HIV-infected children has not matched
this scale up of quality HIV treatment and care.
PEPFAR funding will be requested to improve pediatric TB/HIV patient care and training activities to raise
the quality of TB care and treatment according to the latest national and international recommendations.
Baylor will work closely with the BNTP and GOB facilities in the southern part of the country (Kgatleng,
Kweneng, South-Eastern, Southern districts) to improve and strengthen the delivery of pediatric TB/HIV
services, to increase access to quality TB/HIV care and treatment of children and to train non-pediatrician
health care workers in the care of TB/HIV infected children according to the national guidelines.
The selected organization will create a referral service center which will deal with complicated TB/HIV
disease and multidrug-resistant TB (MDR-TB) in children, and will implement a mentoring/supportive
supervision system with an outreach support component to standardize the approach to pediatric TB/HIV
and MDR-TB management. Baylor will assist hospitals in this region to improve TB screening and diagnosis
of pulmonary TB in children, and will develop appropriate screening algorithms for TB in children.
The selected organization will be charged with reviewing and evaluating pediatric TB/HIV and MDR-TB care
and treatment, and in designing and implementing an information, educational and communication (IEC)
strategy targeting parents of children with HIV/TB disease, and adolescents at high risk of HIV and TB
infection.
Continuing Activity: 18701
18701 18701.08 HHS/Centers for Baylor University 8743 8743.08 $253,000
Disease Control &
Emphasis Areas
Health-related Wraparound Programs
* TB
Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.12:
